The game Jenga and "Burnout" - "It's been two years; they should have this figured out!"
Breaking the news - it has been figured out, but the health care industry isn't being allowed to help with effective and safe treatments.
“Burnout” - work stress overload to the point of extreme fatigue or physical illness.
A tired physician doesn’t like the word and compares it to a game of Jenga instead. Load up the top with too many blocks, remove the structural blocks working hard below in the tower, to support the top-heavy structure, and inevitably, the structure collapses. (1) He is not wrong - the Affordable Care Act led to an even bigger hospital administration on average and a more overworked, understaffed system that encourages larger bills. Profit was capped for insurance companies at 15% of the patient bills basically - so 15% of a bill for one million dollars is more profit than 15% of a medical bill for one hundred dollars.
“As I see it, the problem needing to be addressed is more complex than a simple measure of direct cause and effect. Our healthcare system is analogous to a tower of Jenga blocks constantly evolving when the players (in this case, forces outside our control) create efficiencies by moving pieces not 100% essential for stability and placing them on the top. The size of the tower increases; however, the structure becomes more vulnerable. In an emergency, disorder increases as pieces are placed slightly off-center, increasing the stress on the system. In the actual game, the players accept that a point of maximum efficiency exists that, when exceeded, will cause the tower to fall. That's just how the game is played.
When asked to recall the rules of the game, we think of the instructions from Milton Bradley, not the overarching laws of the physical universe. According to Newton's First Law of Thermodynamics, when the tower falls, entropy is lost, but energy is neither created nor destroyed. With that in mind, it is illogical to say that the blocks of wood "burn out" for abiding by the laws of the physical universe and gravity.” (1)
The tired physician took some time off and on returning to work was met with new staff and frustrated and caring patients.
“An elderly woman from a nursing home tells me, "You looked tired, dear," and the moment of role reversal gives me pause. Exiting her room, a patient on a stretcher laments the time spent waiting for results. At discharge he tells me, "You know, you people really need to figure this out already -- it's been over 2 years." (1)
Physical and emotional stress can increase inflammatory cytokines and myokines and lead to the chronic hyperinflammation positive feedback loop. If extra nutrients aren’t available to help cope, then the chronic condition would escalate and lead to damage eventually.
People have figured out Covid though - it is hyperinflammation of modern life made worse by an inflammatory chimeric spike protein and now injection ingredients too. Ventilators are needed for respiratory failure - the lungs physically can’t pump. The sedation to “stop the lungs from fighting the machine” are also quite risky and used in surgery with the caution to not use for more than 4-6 hours or so (would need to be double checked). The Covid hypoxia issue is because the hemoglobin is no longer accepting oxygen normally, so a ventilator pushing in more oxygen isn’t going to get it to the body’s cells. The hypoxia needs to be treated with antioxidants, iron chelators, and other things that address the blood chemistry imbalance.
Physicians haven’t been allowed to treat patients with anything except the Remdesivir and ventilator protocols. They harm more than help. Physicians and nurses and dietitians go into the health care field in order to help people. It would be very hard to be trapped in a system that is forcing harm on people instead. I was kind of glad to lose my job in public health because it allowed me to stop having to talk about fluoride as a recommended treatment. When asked for more information I would refer people to a website with a handwritten note and state that “WIC policy is to recommend….fluoride for cavity prevention. Topical rinses may be safer for the body than tablets if fluoride is being recommended because fluoridated water isn’t available.”
When you are being required to do something that goes against your values, and you do it because you want a paycheck - there is a word for that and it isn’t burnout.
Sellout might be used to describe someone who is getting a paycheck for doing work they don’t believe in or support.
It can add to your stress level when you are feeling pressure to act against your values. (2)
I was kind of glad to lose my stressful government job which required me to share information that I felt was potentially harming people.
Covid care could be more effective, as demonstrated in many other nations than the US. It is past time to see that any/all effective and safe and readily available treatments have been discredited, suppressed, and/or banned from use. The “system” is hurting people, but the “system” is using other people to carry out the harm.
It is time for more to stop being sellouts to a system of harm. It can be bad for your health.
Addition - based on these statistics from the US Department of Labor, the substantial increase in hospital or medical administration started in 1991.
What happened in 1991?
“"H.R.1300 - Universal Health Care Act of 1991 102nd …
Shown Here: Introduced in House (03/06/1991) Universal Health Care Act of 1991 - Amends the Social Security Act to add a new title XXI (National Health Insurance) to establish a national, single-payer health insurance program under which every U.S. citizen would be eligible for enrollment. Allows individuals to choose their own health care providers from among those providers participating in the program.” (3)
That Jenga tower would be hard to build - all the green blocks have to stack on top of the yellow blocks who are stacked on top of aides and nurses and a few ancillary health professionals like dietitians.
Related to physician burnout and the apparent inability to treat “Covid-19” in the U.S. - we also can’t seem to report on glyphosate in U.S. media:
In my email inbox: "CDC finds glyphosate in 80% of US urine samples—as reported by 0% of "our free press"" - Mark Crispin Miller,
Glyphosate is a big issue and would be a risk factor for more severe CoV or misfolded protein conditions.
Reference List
Michael Schmitz, DO, MS, Can We Please Stop Calling It Burnout? — My experience with what I call, "Post-COVID Syndrome, Type B", medpagetoday.com, https://www.medpagetoday.com/opinion/second-opinions/99647
Kathy Caprino, If Your Values Clash With How You're Working, You'll Suffer -- Here's How To Fix That, Aug. 4, 2016, Forbes.com, https://www.forbes.com/sites/kathycaprino/2016/08/04/if-your-values-clash-with-how-youre-working-youll-suffer-heres-how-to-fix-that/
H.R.1300 - Universal Health Care Act of 1991
102nd Congress (1991-1992), congress.gov https://www.congress.gov/bill/102nd-congress/house-bill/1300
Goodness! One of my niches is Imposter Syndrome in medics and burnout (a result of a whole stack of little ‘t’ traumas).
If anyone was interested I can post my book idea here to be dissected and properly challenged!
One to add to your Retinoic Acid and Glyphosate archive.
It's from 2010 in a toxicology journal by a team from Paraguay.
Glyphosate-based herbicides produce teratogenic effects on vertebrates by impairing retinoic acid signaling https://pubmed.ncbi.nlm.nih.gov/20695457/